# A client in the emergency department is pacing, trembling, and says, "I feel like I am going to die." Which response by the nurse is most therapeutic?

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394062&lang=en  
> language: en  
> subject: NCLEX-RN  
> category: PSI

## Question

A client in the emergency department is pacing, trembling, and says, "I feel like I am going to die." Which response by the nurse is most therapeutic?

## Option

1. There is nothing wrong with you, so calm down.
2. You are safe here. Breathe with me slowly. **✔ Correct answer**
3. I will leave you alone until the feeling passes.
4. Ask the client to describe exactly what medications they have taken today

**Correct answer: 2**

## Explanation

During severe anxiety or panic, the nurse should stay with the client, communicate safety, and use short, calm directions such as guided breathing. Telling the client to calm down, leaving, or minimizing symptoms is not therapeutic. Safety and presence come first.

## In-depth explanation

Clinical Judgment
Panic care uses presence, safety, and simple instructions because complex teaching will not land during peak anxiety.

Memory Tip
Stay, reassure, breathe.

## Clinical scenario

Clinical Practice Guide
Therapeutic communication for panic focuses on calm presence, reduced stimulation, brief statements, and breathing support.

Caution
Always assess for medical causes of acute chest pain or dyspnea when symptoms suggest them.

## Key concepts

- **Panic Attack** — A sudden episode of intense fear with physical symptoms such as trembling or dyspnea.
- **Therapeutic Communication** — Communication that supports safety, trust, and emotional regulation.
- **Grounding** — A technique that helps a person reconnect with the present moment.

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